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GORDON HIGHWAY DENTAL GROUP LLC NPI 1215487467


NPI Information

NPI: 1215487467
Provider Name: GORDON HIGHWAY DENTAL GROUP, LLC

Doing Business As: AUGUSTA SMILES YOUTH DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1631 GORDON HWY
AUGUSTA, GA
ZIP 30906
Phone: (706) 790-9302
Get Directions

GORDON HIGHWAY DENTAL GROUP, LLC is a general practice dentist in Augusta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GORDON HIGHWAY DENTAL GROUP, LLC NPI is 1215487467. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Augusta Smiles Youth Dentistry.

The provider's business location address is:

1631 GORDON HWY
AUGUSTA, GA
ZIP 30906
Phone: (706) 790-9302
Fax: (706) 790-9303

The provider's authorized official is Linda Susan Zoeller .
The authorized official title is Authorized Official and has the following contact phone number (615) 988-2627.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 7/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN015152GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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